AFC Wimbledon Phipps Bridge Thursday Kicks 24/25

Please provide the below information to attend the AFC Wimbledon Foundation's X Premier League Kicks. 

This a free football focussed session at Phipps Bridge Youth Hub where we will be looking to engage young people in sports, workshops, tournaments and empower them with life skills.

The sessions are open to all (10 years old- 18 years old).

Day: Thursdays (term time only)
Time: 5-7pm mixed (no entry after 5.30pm) 
Location: Phipps Bridge Youth Centre (Family Hub) Cobham Court, Haslemere Avenue CR4 3PR

Participants will be expected to adhere to our behaviour policy. Inappropriate language, aggression, discrimination and disrespectful behaviour may result in a child’s exclusion from the sessions.  

All Foundation staff are DBS checked and all will follow our safeguarding and health & safety policies and procedures.

Participants must provide the following information to be able to participate in the session. If we do not have this information we will turn them away. 

For more information contact: [email protected] / 07562 946 219

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First Name *
Surname *
Age *
Date of Birth *
GG
/
AA
/
YYYY
Gender *
Ethnicity *
Postcode *
School *
Do you recieve free school meals (optional)
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Medical conditions/allergies/additional needs *
Parent/Guardian Name *
Parent/Guardian emergency contact phone number *
Parent/Guardian email address *
Participants contact no. (optional)
How did you hear about the session? *
We sometimes take and publish photos and videos in order to promote and record AFC Wimbledon events and projects internally and externally with our partners. We may use these images on our website, in publications such as leaflets and newsletters, on social media (eg Instagram and Twitter), in promotional materials and sometimes in the news (TV and newspapers). We will only use your  image with your consent and you can contact us anytime if you wish to withdraw your consent or view any images we have of you. I consent to my image being used by AFC Wimbledon Foundation and its partners for the above purposes. *
AFC Wimbledon Foundation reserve the right to withdraw the placement due to unacceptable behaviour. *
I give Foundation staff permission to provide first aid treatment in the event of an accident. *
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